Frequently Asked Questions (FAQ) on the 2013 HEM
If I cover a spouse or domestic partner and I choose to participate in the 2013 HEM, do we both have to take a health assessment and take and track two health actions in 2013?
Yes.* If you provide health coverage for a spouse or domestic partner as well as yourself, you each must complete your individual health assessment by Oct. 31 to participate in the HEM, and you each need to complete two health actions during 2013.
*Newly eligible and returning to eligibility: A spouse or partner who is newly eligible for coverage through an employee's enrollment Oct. 1 through Dec. 31, 2013, does not need to complete the assessment and take and track two health actions, and the employee will receive the taxable $35 health incentive in monthly pay. Newly hired employees (and employees returning to state service) and their spouse/partneralso are not required to complete the assessment and take and track two health actions. These employees will be able to enroll in medical plans without the additional deductible, and they will not receive the monthly health incentive in their pay.
If I completed my Providence health assessment on MyProvidence.org for the 2012 HEM, do I have to complete it again for the 2013 HEM?
Yes. PEBB Statewide and Providence Choice members must complete the health assessment on MyProvidence AND sign up for the 2013 HEM by Oct. 31. This applies even if you completed a health assessment earlier this year for the HEM in 2012.
If I completed my Kaiser health assessment earlier this year, do I have to complete it again for the 2013 HEM?
If you completed your Kaiser health assessment after Feb. 13, that will count for 2013 HEM participation. To see when you completed it, log in to your Kaiser page, navigate to your "Succeed" page, and look for "plan created" and a date to the lower right of the yellow sunflower. If the date is before Feb. 13, 2012, you need to complete your health assessment by Oct. 31.
How can I print my screen as a record of completing my health assessment?
On Mac OS X, a user can take a screenshot of an entire screen by pressing Command-Shift-3, or of a chosen area of the screen by Command-Shift-4. (Note: the screenshot will automatically be saved as a file on your desktop, which you can attach to your email or open and print for faxing.) A user cannot capture the screen while DVD Player is running. Microsoft Windows On Microsoft Windows, pressing Print Screen captures a screenshot of the entire desktop and places it in the clipboard, while Alt + Print Screen captures only the active window. Once captured, the screenshot must be pasted from the clipboard into a separate program, such as Paint or Word, in order to be viewed or saved. (Taken from wikipedia.com)
How can I appeal if we completed our assessments and signed up for HEM but somehow didn't get included as participants?
Members who wish to appeal their enrollment status because they (both employee and spouse/partner) completed their health assessment may do so by submitting both the following to PEBB by Feb. 28:
An appeal form that shows the date they contacted the plan for log-in assistance
Print-out from their online account on their plan’s website showing completion of the health assessment(s)
When I take my health assessment, do I need to respond to all the questions?
Yes. For your health assessment to accurately reflect your health risks on your individual summary, you need to respond to each question that applies to you. Remember, you're the only one who gets this report unless you choose to share it with your provider.
If I plan on switching to a different medical plan for 2013, where do I take my health assessment for the 2013 HEM?
Take your health assessment on your current (2012) plan's website. It will apply even if you choose a different medical plan for 2013.
If I take my health assessment by Oct. 31, can I expect a HEM incentive in 2013?
To receive the incentive you have to complete your health assessment AND sign up for the HEM by the close of Open Enrollment, Oct. 31.
What are the options for two health actions I need to take and track as part of my HEM participation in 2013?
Click here to see the list of options.
If I'm overweight, will I have to try to lose weight as one of the health actions?
You will be required to participate in a weight management program as one of your health actions (remember Weight Watchers is a covered benefit) or work with your health care provider to develop and follow a weight management program.
If I use tobacco, will I have to try to quit as one of the health actions?
You will be required to try to quit tobacco through a tobacco cessation program (remember that Quit for Life is a covered benefit).or work with your health care provider to develop and follow a tobacco cessation program.
Who is going to track my two health actions as part of the 2013 HEM?
You. Use whatever method works for you - an online tracker, a journal, a calendar, a notebook, a scheduler on your computer, an app on a smart phone. It's up to you.
Do I need to track my health actions as a report to PEBB?
No. Tracking health actions helps people stick with them, so they become part of everyday behavior.
How will PEBB know if I took two health actions?
When they enroll for 2014 benefits, HEM participants will be asked if they took and tracked two health actions during 2013. The question will require a "yes" or "no" response.
Can I sign up for HEM and be exempt from taking the health assessment?
You can submit an application to your health plan by Oct. 31 for exemption from taking the health assessment as part of participating in the 2013 HEM if you meet one of the following criteria:
Spouse or domestic partner serving in military overseas
Spouse or domestic partner incarcerated
Out of country all year
In hospice or extended hospital stay
Unable because of medical condition to complete confidential, online health assessment
The exemption form for Kaiser plans is here.
The exemption form for plans administered by Providence is here.
FAQ on enrolling for 2013
FAQ on 2013 health plans